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Every few weeks, I am showcasing a different advantage of owning a Health Spending Account in this segment called…

HSA Advantage….

Many readers would argue that this is the number one benefit of having a Health Spending Account.  Others will say it is the tax-savings.  Personally, I would agree with the Flexible Spending crowd on this one.

In case you did not know, Health Spending Accounts cover a wide range of services and procedures – far more than any insurance plan on the market today.  While an HSA is technically an insurance plan in the eyes of Canada Revenue Agency (CRA), it follows a claiming schedule designed for tax deduction purposes as opposed to caps or maximums based on general insurance risk and claiming patterns.   To clarify, think of your traditional health insurance plan from Manulife or Sun Life.  The plan has maximums for things like prescription drugs, massage therapy visits, and private duty nursing.  These caps or maximums are tied to the premium you pay.  The lower the maximum or allowance for each item, the lower the premium you pay – similar to the deductible on your car insurance and the price you pay in premiums. 

A Health Spending Account on the other hand has no plan design and the items you can claim for reimbursement are at the discretion of the owner – as long as you have sufficient funds in the account and the claim is considered eligible by CRA.  The rules for claiming come from Canada Revenue Agency’s interpretation bulletin IT-519R2 Medical Expense and Disability Tax Credits and Attendant Care Expense Deduction.  In addition to covering the basic items (drugs, therapy, dental, etc..) the funds can also be used to pay for many of the items insurance plans refuse to cover – such as smoking cessation, fertility drugs, elective surgery, cosmetic surgery, special needs schooling and more…

The key advantage is that you dictate the amount you want to spend and what you want to cover, not your insurance provider.  If you or your employer decide to deposit $1,200 into your Private Health Services Plan (PHSP) or Health and Welfare Trust (HWT), you can spend it all on one service (such as massage therapy) or on a variety of services for you and your family.  The flexibility of the HSA means that you have complete control over what you spend and when you spend it – a true advantage.  For more information on claiming, feel free to view our making claims information page here at HSACanada.com.

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In recent years, I have seen a growing number of Health Spending Account solutions appear in the market.  Some are great and I applaud those providers who have done their research and developed a product that is respectful of the interpretation bulletins published by Canada Revenue Agency (CRA).  However, a growing number of companies have entered the market in recent years looking to make a quick buck without truly investing in their knowledge of the product.  To help, I thought I would start a new blog series…. items you should look for when choosing an HSA provider…

Unused Funds Being Returned to Company

Canada Revenue Agency is pretty clear on this issue – funds can NEVER revert back to the employer.  The only time this can happen is when an HSA is used in a notional credit program combined with a flexible benefits plan.  If you are working with a supplier and they allow you to take back unused funds from an employee if they quit, then you should re-evaluate your choice of supplier.  Many of the new suppliers have taken the rules outlined in CRA bulletin IT-529 Flexible Employee Benefit Programs, and confused them with the guidelines outlined in IT-339R2 Meaning of Private Health Services Plan

The guidelines outlined in the later bulletin, and to an extent those outlined in the original IT-85R2 Health and Welfare Trusts for Employees, are truly the best bulletins to follow regarding PHSPs and HWTs.  The information in IT-529 is related to flexible benefit programs and provides an overview of how to account for benefits using a notional credit program.  A notional credit program supports flexible benefits or cafeteria plans – common in many large corporations.  Running a flexible benefits program using notional credits uses an HSA (in the form of a PHSP) in addition to a core plan offering varying levels of coverage for the employees to choose – traditionally as part of an annual election process.

In summary, funds can ONLY revert back to the employer if the program is part of a notional credit arrangement supporting a flexible benefits program.  They belong to the employee! If you have a Private Health Services Plan or Health and Welfare Trust where the supplier allows you to take back the money if an employee is terminated or leaves…..buyer beware!

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May 2024
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